Clinic Aphrodita

29/06/2022

Diagnosis of laryngitis
Therapists, otolaryngologists, pediatricians are engaged in the diagnosis and treatment of laryngitis in adults and children.

Depending on the situation, the plan of diagnostic measures includes:
collection of patient complaints, anamnesis of the disease (how long ago the disease occurred, what drugs were treated, its effectiveness, the presence of bad habits);
examination (retraction of the intercostal spaces, swelling of the wings of the nose, participation of additional respiratory muscles in the act of breathing, difficulty and lengthening of inspiration, wheezing on inspiration);
laboratory research (general blood count, immunofluorescent analysis, skin tests);
instrumental examination (fibrolaryngoscopy, indirect laryngoscopy, pulse oximetry);
consultations with an ENT doctor, a pulmonologist.
To divide stenosis into 4 stages, the Undritz classification is used. Its criteria are: general condition, consciousness, skin color, participation in breathing of the auxiliary respiratory muscles of the chest, respiration, pulse, pulse oximetry data. All patients with stage II-IV stenosis are subject to hospitalization.

Differential diagnosis of laryngitis is carried out with retropharyngeal abscess, foreign body, congenital stridor, larynx papillomatosis, acute epiglottitis, diphtheria.

29/06/2022

Chronic laryngitis
There are several forms of chronic laryngitis:
catarrhal form. It occurs in people with an increased load on the ligamentous apparatus (singers, teachers, lecturers), whose vocal cords are overstrained. Patients with laryngitis complain of voice fatigue, hoarseness, inability to speak loudly, occasional cough, and dry throat. With laryngoscopy, persistent reddening of the mucous membrane of the larynx is noted, more intense in the area of ​​​​the ligaments, dilated capillaries, accumulation of mucus. Treatment of this disease is carried out with the help of inhalations with glucocorticoids, antibiotics, oil solutions, in compliance with the voice mode (even a whisper adversely affects the healing process).
hypertrophic form. It manifests itself in the form of thickening of the vocal folds, the formation of nodules of fibrous tissue on the vocal cords. A person complains of hoarseness of voice, up to aphonia (lack of voice). Treatment is carried out as with catarrhal laryngitis.
atrophic form. It can be combined with atrophic processes of the nasopharynx. Factors contributing to its development are: smoking, alcohol abuse, dust and gas contamination of the environment, previously transferred diphtheria and scarlet fever. Patients complain of a progressive voice disorder, dry throat, foreign body sensation. On examination, reddening of the mucosa, viscous discharge, dark green crusts are found. Treatment is long-term and includes the elimination of the causative factor, compliance with a gentle voice regimen, irrigation of the pharynx with saline twice a day, alkaline-oil, menthol inhalations, injections into the lateral sections of the posterior pharyngeal wall of aloe and Procaine.

29/06/2022